| NPI | 1982043568 |
|---|---|
| Former Name | JASMIN GAMINO GANGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: PA MD458545) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD458545) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT203513) | |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2021-02-18 |